Blease, Robert Ernest
Blease, Robert Ernest is an individual health care provider with primary practice located at 2177 W Ironwood Center Dr , Coeur D Alene ID 83814-2639. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Blease, Robert Ernest can be contacted via phone (208) 625-6111.Contact Information
Primary practice address
2177 W Ironwood Center Dr
Coeur D Alene ID 83814-2639
Phone: (208) 625-6111
Fax: (208) 625-6112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MED-PHYS-LIC-69984 | Montana |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | ME108720 | Florida |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | M-16171 | Idaho |
Profile Details
| NPI number | 1760605455 |
|---|---|
| LBN Legal business name | Blease, Robert Ernest |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Apr 26th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760605455 | NPPES |
| Florida | Other | HQ038Y | MEDICARE |
| Florida | MEDICAID | 010324800 | MEDICARE |
| Florida | Other | HQ038X | MEDICARE |
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